Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan D Clark, PA-C

Individual provider Surgical Physician Assistant · NPI 1811308240

Jonathan D Clark, PA-C is a Surgical Physician Assistant in Muskogee, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone: (189) 577-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3141 (OK)

Record details

NPI number1811308240
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 20, 2014
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address6731 E 131st Pl S, Bixby, OK 74008-3302

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